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General NPI Number Information
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NPI Number | 1457318941
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Entity Type | Individual
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Provider Name | MICHELLE TRAM ANH NGOC CHU M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 6400 SEVEN CORNERS PL SUITE J
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2009
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Country | US
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Telephone | 703-241-8008
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Fax | 703-241-0062
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Provider Business Mailing Address
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Address Line | 6400 SEVEN CORNERS PL SUITE J
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City | FALLS CHURCH
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State | VA
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Zip | 22044-2009
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Country | US
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Telephone | 703-241-8008
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Fax | 703-241-0062
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101053789
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License Number State | VA
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